How a Stampwright pilot actually runs.
One end-to-end CMS-1500 flow, four distinct moves the specialist signs off on. The walk below is the answer to “how does the pilot actually work” — plain language, the same way it shows up in a Tuesday-afternoon billing-desk conversation, not a sales deck.
What the specialist drops in.
Three raw source artifacts. Every figure on the CMS-1500 traces back to one of them — no synthesised fields, no free text scraping a sidebar. If a piece of the source packet is missing, the box stays blank and the cross-check shouts before the specialist signs.
Patient intake (PDF)
The intake form the patient signs at the front desk — boxes 1–13 on the CMS-1500 map here. Patient name, insured name if different, address, DOB, sex, relationship to insured, insured ID, group, insurance plan name, signature-on-file flag.
Procedure notes + ledger (CSV / Excel)
The day-of procedure notes and the charge sheet come in together. Date(s) of service, place of service, rendering-provider NPI, supervising-provider NPI when the preceptor is on the line, CDT / HCPCS procedure codes with descriptions, ICD-10 diagnoses, fee per line.
Charge sheet (fee schedule)
The charge sheet on the billing desk pins the dollar figure that lands in Box 24F. Anything leaving the desk without a charge sheet gets flagged in cross-check — the specialist sees the gap before the packet ships, not after.
For the exact mapping — Box 1–13 vs. intake PDF, Box 14–33 vs. procedure notes and charge sheet — see the methodology. The walkthrough there names every box and the source line it fills from.
What Stampwright sends back.
Three layered deliverables on the same packet. The specialist doesn't read a black-box verdict — they sign a draft where every fill and every cross-check verdict is auditable on its own.
Every CMS-1500 Box 1–33 is populated from a documented source line on the specialist’s input. Hover any box; the citation is one line away. Reviewers see a draft with receipts, never a guess.
Each field is run against the live ADA Current Dental Terminology, Medicare, and NUCC rule mirror. Pass / warn / fail on every box, with the failing rule cited inline. The specialist signs a packet where the conflicts have already been named.
The artifact the reviewer signs is a printable PDF — every fill, every cross-check verdict, every rule citation, every supervisor sign-off line, with a deterministic fingerprint a downstream auditor can re-walk months later without our software.
The four-day window between intake and receipt.
The supervised pilot is deliberately paced so the specialist never sees a signed packet they didn't actually review. Intake on day zero, sign-off by day two, the cleared receipt by day three.
- Day 0
Intake
Specialist uploads the three source artifacts. Stampwright OCRs, classifies, and pins every figure to a source line. No box is filled from outside the packet.
- Day 1
Cross-check back to the specialist
The drafted CMS-1500 ships back to the specialist with the cross-check report (pass / warn / fail, with the failing rule cited inline on every box that flagged). The specialist fixes or accepts each verdict.
- Day 2
Sign-off
Specialist signs the draft packet. Nothing reaches a clearinghouse without a sign-off — the supervised review is the gate, not a courtesy.
- Day 3
Receipt
The signed packet ships to the clearinghouse. The audit-log PDF returns as the receipt the specialist can hand to an auditor, a payer, or a clinic director.
PHI handling during the pilot
Every bundle the specialist drops in is treated as PHI for the lifetime of the pilot run. Residency, encryption-at-rest and in-transit, role-scoped access, an immutable audit log per submission, a signed BAA, and a fixed retention window with a hard deletion at the end — the same commitments we publish on the methodology page. Reviewers can walk the same rule set the cross-check engine is running against.
The pilot does not train any model on a participant's source documents. The receipt PDF is the only artifact that leaves the run.
Ready to scope a supervised run?
Send your name, work email, and a sentence on what your packet looks like — how many claims a week, payer mix, whether the preceptor is on the line, and which CMS-1500 / dental crosswalk friction is costing the most desk time. We reply the same business day with a pilot scope.
Submissions are tagged source:pilot-request so they stay out of the generic'contact-traffic lane and land directly with the pilot team.
Direct line to the pilot team
Tagged source:pilot-request on submit.